Stafford Early Autism Services | |
538 Apricot Street Stafford VA 22554 | |
(540) 623-4127 | |
(540) 301-2778 |
Full Name | Stafford Early Autism Services |
---|---|
Speciality | Behavior Analyst |
Location | 538 Apricot Street, Stafford, Virginia |
Authorized Official Name and Position | Krystal Edmonds (BEHAVIOR ANALYST) |
Authorized Official Contact | 5406234127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stafford Early Autism Services 538 Apricot Street Stafford VA 22554 Ph: (540) 623-4127 | Stafford Early Autism Services 538 Apricot Street Stafford VA 22554 Ph: (540) 623-4127 |
NPI Number | 1790209526 |
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Provider Enumeration Date | 08/02/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790209526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 0133000789 (Virginia) | Primary |
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